By Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti
Radiologists, orthopedic and neurological surgeons current different minimally invasive equipment. Peripheral nerve difficulties and difficulties relating differential analysis in detailed events similar to among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of other diagnostic instruments. Minimally invasive suggestions, applied these days to lessen bone demolition, scarring and possibility of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal recommendations, and new equipment are mentioned dealing with difficulties resembling epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.
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80B:201 7 22. Chiu JC. (2004) Evolving transforaminal endoscopic microde compression for herniated lumbar discs and spinal stenosis. Surg Technol Int. 13:276 86 Philosophy and Concepts of Modern Spine Surgery Soriano-Sa´nchez Jose´-Antonio, Marcos Baabor-Aqueveque , and Francisco Silva-Morales Abstract The main goal of improving pain and neurological deficit in the practice of spine surgery is changing for a more ambitious goal, namely to improve the overall quality of life and the future of patients through three major actions (1) preserving the vertebral anatomical structures; (2) preserving the paravertebral anatomical structures; and (3) preserving the functionality of the segment.
The MISS is not destined to interchange a major procedure by a smaller one; that would be a shortsighted view of its scope. Really it means on the basis of reduced risk- a sooner intervention in the natural history of a particular ailment and always with the ideal of preserving the functional unit, reducing risks and improving the quality of life and the future of the patients (Fig. 7). The term ‘‘MISS’’ is not about one or several particular surgical techniques, but a new way of thinking, a new philosophy.
Of course, feedback from patients through satisfaction and clinical scales can guide our direction and provide the energy needed to maintain the enthusiasm (Fig. 12). Keywords Dynamics of the spine Á Evidence-based medicine Á Image guided procedures Á Minimally invasive surgical techniques Philosophy and Concepts of Modern Spine We must recognize that many aspects of spinal surgery have changed over time. The world itself has changed. The mortality rate has decreased and life expectancy has increased at a rate of approximately 3 months per year in accordance with the University of Cambridge, and as a result, world population has increased from just over three billion in 1965 to almost seven billion at present and with a projection, according to the WHO, around nine billion by 2050.